Surgery: Clinical Cases Uncovered

Acknowledgements.

How to use this book.

Part 1 Basics.

Approach to the patient.

Part 2 Cases.

Case 1 Postoperative dyspnoea.

Case 2 Inside out.

Case 3 A wound leak.

Case 4 An inflamed neck.

Case 5 Postoperative infection.

Case 6 A sore neck.

Case 7 Hidden infection.

Case 8 Burnt thorax.

Case 9 Burn treatment.

Case 10 Lumps on the scalp.

Case 11 A lump on the wrist.

Case 12 Recurrent abscesses over the sacrum.

Case 13 A septic great toe.

Case 14 A skin tumour.

Case 15 Two old gentlemen with facial ulceration.

Case 16 A pigmented spot on the face.

Case 17 A pigmented skin lesion that has got bigger.

Case 18 Lump on the chest wall.

Case 19 A patient with a chest drain.

Case 20 A fatal lung disease.

Case 21 A pulsating abdominal mass.

Case 22 Abdominal bruising.

Case 23 A painful calf.

Case 24 Black toes.

Case 25 A useful instrument in vascular surgery.

Case 26 A young woman with cold hands.

Case 27 A complication of varicose veins.

Case 28 A chronic leg ulcer.

Case 29 Another leg ulcer.

Case 30 A cerebral mass on magnetic resonance imaging.

Case 31 A cerebral vascular catastrophe.

Case 32 A baby with a large head.

Case 33 A blow to the skull.

Case 34 A severe head injury.

Case 35 Another severe head injury.

Case 36 A spinal abnormality in a newborn child.

Case 37 Back injury.

Case 38 A lacerated wrist.

Case 39 A hand deformity.

Case 40 A deformed finger.

Case 41 A boy with a droopy eyelid.

Case 42 A lump on the lip.

Case 43 A white plaque on the tongue.

Case 44 A baby with two gross congenital deformities.

Case 45 A painful submandibular swelling.

Case 46 A lump over the angle of the jaw.

Case 47 A patient with difficulty swallowing.

Case 48 Another patient with difficulty in swallowing.

Case 49 A third patient with dysphagia.

Case 50 Heartburn.

Case 51 Vomiting in a baby.

Case 52 A gastric ulcer.

Case 53 A bloody vomit.

Case 54 An acute abdominal emergency.

Case 55 A fateful vomit.

Case 56 A serious gastric lesion.

Case 57 A surgical specimen of stomach.

Case 58 An acutely painful, distended abdomen.

Case 59 Neonatal intestinal obstruction.

Case 60 A very constipated small boy.

Case 61 A painful distended abdomen in an old man.

Case 62 An unusual case of severe rectal bleeding in a child.

Case 63 An abdominal mass in a young man.

Case 64 A striking and diagnostic facial appearance.

Case 65 Acute abdomen in a medical student.

Case 66 Yet another mass in the right iliac fossa.

Case 67 A symptomless finding on a barium enema examination.

Case 68 Ulcerative colitis.

Case 69 A complication of longstanding ulcerative colitis.

Case 70 A very old woman with an abdominal mass.

Case 71 A patient with subacute obstruction.

Case 72 A pathological anal verge.

Case 73 A painful mass at the anal verge.

Case 74 Another painful mass at the anal verge.

Case 75 An agonizing anal verge.

Case 76 A very painful buttock.

Case 77 A patient with recurrent perianal sepsis.

Case 78 A prolapsing anal mass.

Case 79 An ulcer in the rectum.

Case 80 An ulcer at the anal verge.

Case 81 A large swelling in the groin.

Case 82 A groin lump in an old woman.

Case 83 A lump at the umbilicus.

Case 84 A swelling in the abdominal wall.

Case 85 A jaundiced and very ill patient.

Case 86 A postmortem finding.

Case 87 A man with a grossly swollen abdomen.

Case 88 A massive haematemesis.

Case 89 A schoolmistress with attacks of abdominal pain.

Case 90 A collection of calculi.

Case 91 A patient with jaundice and interesting physical signs.

Case 92 The patient in Case 91 has surgery.

Case 93 A giant abdominal mass.

Case 94 A severe abdominal injury.

Case 95 A painless lump in the neck.

Case 96 Swollen legs in a young woman.

Case 97 A frightened girl with a breast lump.

Case 98 Breast screening.

Case 99 An ulcerating breast lesion.

Case 100 A sinister break.

Case 101 A woman with a sore nipple.

Case 102 A painless lump in the neck.

Case 103 A young immigrant with a lump in the neck.

Case 104 A lump in the neck that moves on swallowing.

Case 105 A woman with an obvious endocrine disease.

Case 106 A mass of cervical lymph nodes.

Case 107 A rapidly enlarging mass in the neck.

Case 108 A patient with colic, and its endocrine underlying cause.

Case 109 A girl with hirsutes.

Case 110 Congenital disease of both kidneys.

Case 111 Haematuria of sinister origin.

Case 112 A gross congenital abnormality.

Case 113 A bladder stone found at autopsy.

Case 114 An insidius cause of lumbago.

Case 115 A man with difficulty passing urine and with an interesting X-ray.

Case 116 Sciatica with a sinister cause.

Case 117 A patient with a very distended bladder.

Case 118 A foreskin problem in a child.

Case 119 An ulcerated prepuce.

Case 120 A missing testis.

Case 121 A swelling in the scrotum.

Case 122 Two examples of testicular tumours.

Case 123 A renal transplant recipient with a gastrointestinal haemorrhage.

Part 3 Self-assessment.

MCQs.

EMQs.

SAQs.

Answers.

Index of cases by diagnosis.

Index